Which pain medication may be administered to the patient as needed?

Fentanyl transdermal patch 25 mcg every 3 days

Acetaminophen with oxycodone 10 mg/325 mg PO every 6 hours

Morphine extended-release 60 mg PO every 12 hours

Ketorolac 10 mg IV every 4 hours as needed

Answer and Explanation

The Correct Answer is D

Choice A reason: Fentanyl patches provide continuous opioid delivery for 72 hours; their fixed schedule isn’t “as needed,” making them unsuitable for acute, variable pain management.

Choice B reason: Acetaminophen with oxycodone is scheduled every 6 hours; this fixed interval lacks the flexibility of “as needed,” limiting its use for breakthrough pain relief.

Choice C reason: Morphine extended-release is designed for sustained release over 12 hours; its fixed dosing isn’t “as needed,” restricting its role to chronic, not acute, pain control.

Choice D reason: Ketorolac IV every 4 hours prn allows flexible dosing; this NSAID targets inflammation and pain acutely, ideal for as-needed administration within safe limits.

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Correct Answer is A

Explanation

Choice A reason: Herbal remedies lack FDA safety data; in pregnancy, untested substances risk fetal harm (e.g., teratogenicity), making this a critical caution.

Choice B reason: Claiming safety is false; many herbs (e.g., St. John’s Wort) affect pregnancy adversely, and without evidence, this misleads the patient dangerously.

Choice C reason: Consistency isn’t required; herbal products vary widely in potency, and this false assurance ignores regulatory gaps in supplement standardization.

Choice D reason: Labels help, but warnings are inconsistent; this shifts responsibility without addressing the lack of proven safety, a more pressing prenatal concern.

A. Barrel B. Plunger C. Needle D. Tip

Correct Answer is B

Explanation

Choice A reason: The barrel holds the medication; it’s the main body, not typically #7, and its static role doesn’t involve direct manipulation like other parts.

Choice B reason: The plunger, often numbered high in diagrams, moves to draw or inject; its dynamic function in volume control makes it a likely #7 candidate.

Choice C reason: The needle pierces tissue; usually a lower number, it’s distinct from the syringe’s operational core, less likely to be #7 in standard layouts.

Choice D reason: The tip connects the needle; a minor component, it’s rarely highlighted as #7, overshadowed by the plunger or barrel in functional importance.

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Which pain medication may be administered to the patient as needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 25-year-old woman is visiting the prenatal clinic and shares with the nurse her desire to go "natural" with her pregnancy. She shows the nurse a list of herbal remedies that she wants to buy so that she can "avoid taking any drugs." Which statement by the nurse is correct?

Correct Answer is A

Explanation

See the syringe diagram, what part is #7? (Assuming #7 refers to a common syringe part; no diagram provided, so standard parts assumed.)

Correct Answer is B

Explanation

The physician orders vancomycin 500 mg in 250 mL of D5W IVPB daily to infuse over 2 hours. Tubing drop factor is 15 gtts/mL. Calculate the flow rate in drops per minute.

The nurse is caring for a client who has difficulty swallowing a large tablet of a prescribed drug. What action should the nurse take first?

The physician orders Zestril 15 mg po daily for hypertension. The medication is supplied in 5-mg tablets. How many tablets will the nurse administer?

Using the label, what is the trade name of the medication? (No label provided; assuming Zestril from prior context.)

The physician gives orders to infuse 1 unit (250 mL) of packed red blood cells over 4 hours. Calculate the flow rate in milliliters per hour.

What is the generic name on the medication? (No medication specified; assuming a common example from context, e.g., Zestril.)

When preparing to administer an intradermal injection to an adult, the nurse ensures that the dose amount does not exceed 0.1 mL. A 1 mL tuberculin syringe is used with a 25-gauge needle and is administered at which angle?

The patient crushes extended-release pain medication tablets in order to obtain relief immediately. Which term describes the action of this patient?